Lumbar intervertebral disc calcification with massive herniation: a case report
An 18-year-old female patient presented with a 1-month history of low back pain, which had worsened and was accompanied by radiating pain in the right lower limb for half a month. She was admitted to our hospital with computed tomography and magnetic resonance imaging findings suggesting calcificati...
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Language: | English |
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SAGE Publishing
2025-01-01
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Series: | Journal of International Medical Research |
Online Access: | https://doi.org/10.1177/03000605241311772 |
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author | Junxin Chen Kangmao Huang Song Dai Yuanhang Chen Wenbin Xu Xiangqian Fang |
author_facet | Junxin Chen Kangmao Huang Song Dai Yuanhang Chen Wenbin Xu Xiangqian Fang |
author_sort | Junxin Chen |
collection | DOAJ |
description | An 18-year-old female patient presented with a 1-month history of low back pain, which had worsened and was accompanied by radiating pain in the right lower limb for half a month. She was admitted to our hospital with computed tomography and magnetic resonance imaging findings suggesting calcification of the L3/4 disc and a large intraspinal mass at the L2–4 level. The patient’s symptoms did not improve with conservative treatment, and her muscle strength rapidly declined. Therefore, a right-sided L3 laminotomy was performed for decompression. Intraoperatively, a cystic intraspinal mass with calcification was observed, and upon incision, a toothpaste-like substance flowed out. Pathological examination revealed fibrous tissue with glassy deposits and calcifications. Postoperatively, the patient’s symptoms resolved completely, with no recurrence observed at the 2-month follow-up and complete resorption of the calcification at the L3/4 disc. Idiopathic intervertebral disc calcification with massive herniation poses a risk of permanent nerve function loss, and timely decompression is recommended to ensure a good prognosis. |
format | Article |
id | doaj-art-e403f791ab604756b9cf7dff9c8451a0 |
institution | Kabale University |
issn | 1473-2300 |
language | English |
publishDate | 2025-01-01 |
publisher | SAGE Publishing |
record_format | Article |
series | Journal of International Medical Research |
spelling | doaj-art-e403f791ab604756b9cf7dff9c8451a02025-01-29T12:03:44ZengSAGE PublishingJournal of International Medical Research1473-23002025-01-015310.1177/03000605241311772Lumbar intervertebral disc calcification with massive herniation: a case reportJunxin ChenKangmao HuangSong DaiYuanhang ChenWenbin XuXiangqian FangAn 18-year-old female patient presented with a 1-month history of low back pain, which had worsened and was accompanied by radiating pain in the right lower limb for half a month. She was admitted to our hospital with computed tomography and magnetic resonance imaging findings suggesting calcification of the L3/4 disc and a large intraspinal mass at the L2–4 level. The patient’s symptoms did not improve with conservative treatment, and her muscle strength rapidly declined. Therefore, a right-sided L3 laminotomy was performed for decompression. Intraoperatively, a cystic intraspinal mass with calcification was observed, and upon incision, a toothpaste-like substance flowed out. Pathological examination revealed fibrous tissue with glassy deposits and calcifications. Postoperatively, the patient’s symptoms resolved completely, with no recurrence observed at the 2-month follow-up and complete resorption of the calcification at the L3/4 disc. Idiopathic intervertebral disc calcification with massive herniation poses a risk of permanent nerve function loss, and timely decompression is recommended to ensure a good prognosis.https://doi.org/10.1177/03000605241311772 |
spellingShingle | Junxin Chen Kangmao Huang Song Dai Yuanhang Chen Wenbin Xu Xiangqian Fang Lumbar intervertebral disc calcification with massive herniation: a case report Journal of International Medical Research |
title | Lumbar intervertebral disc calcification with massive herniation: a case report |
title_full | Lumbar intervertebral disc calcification with massive herniation: a case report |
title_fullStr | Lumbar intervertebral disc calcification with massive herniation: a case report |
title_full_unstemmed | Lumbar intervertebral disc calcification with massive herniation: a case report |
title_short | Lumbar intervertebral disc calcification with massive herniation: a case report |
title_sort | lumbar intervertebral disc calcification with massive herniation a case report |
url | https://doi.org/10.1177/03000605241311772 |
work_keys_str_mv | AT junxinchen lumbarintervertebraldisccalcificationwithmassiveherniationacasereport AT kangmaohuang lumbarintervertebraldisccalcificationwithmassiveherniationacasereport AT songdai lumbarintervertebraldisccalcificationwithmassiveherniationacasereport AT yuanhangchen lumbarintervertebraldisccalcificationwithmassiveherniationacasereport AT wenbinxu lumbarintervertebraldisccalcificationwithmassiveherniationacasereport AT xiangqianfang lumbarintervertebraldisccalcificationwithmassiveherniationacasereport |